health systems division governor's budget · 2019-10-30 · steve allen, behavioral health...

Oregon Health AuthorityHealth Systems Division

Behavioral HealthPresented to

Innovative Care for Behavioral Health & Substance Use DisordersOctober 30, 2019

Steve Allen, Behavioral Health Director

The Triple Aim Vision for Oregon

2

OREGON HEALTH AUTHORITYBehavioral Health

Behavioral Health Funding Streams

3

OREGON HEALTH AUTHORITYBehavioral Health

Coordinated Care Organizations

CCO 1.0• Delegated full benefit• Limited provider network and

long wait times• Members unable to access BH

in PCPCH• Limited care coordination and

members “falling through the cracks”

CCO 2.0• Responsible for BH benefit• Must ensure adequate provider

network and timely access to care (per OAR)

• Must contract for and reimburse BH in primary care

• Priority populations eligible for intensive care coordination

4

OREGON HEALTH AUTHORITYHealth Systems Division

Community Mental Health Programs

By statute (ORS 430.630), CMHPs provide basic services to persons with mental illness or Substance Use Disorder, subject to:• Availability of funds;• Rules established by OHA; and• Service Elements in OHA-county contracts.

5

OREGON HEALTH AUTHORITYHealth Systems Division

Behavioral Health System

BH Immediate Challenges

7

OREGON HEALTH AUTHORITYHealth Systems Division

Behavioral Health System Improvement Engine

Project Nurture

• Team-based approach to care for pregnant women and parenting moms with opioid use disorder, with the goal of keeping mom and child together.

• Access to comprehensive behavioral health and physical health

Key outcomes:• 70% reduction in preterm birth compared to women with SUD not in Project

Nurture• 93% of Project Nurture participants have long-term custody of their infant at

program exit

10

OREGON HEALTH AUTHORITYHealth Systems Division

Integration

Certified Community Behavioral Health clinics (CCBHC)• CCBHC provide integrated physical and behavioral health care and

making a meaningful difference in the lives of Oregonians with complex needs.

Behavioral Health Homes (BHH)• BHH will be based on the Patient-Centered Primary Care Home

Program (PCPCH)• BHH will provide integrated behavioral and physical health care in a

behavioral health setting

11

OREGON HEALTH AUTHORITYHealth Systems Division

Thank You